Nevada

Grounds stated in the sources

The Bureau of Health Care Quality and Compliance's own licensing rule for skilled-nursing facilities, NAC 449.74429(1), states that "A facility for skilled nursing may" "transfer or discharge a patient from the facility only if:" the facility "can no longer provide for the" "needs of the patient and the transfer or discharge is necessary for the" "patients welfare" (the rule's own text, without an apostrophe); "The health of the patient has improved" "sufficiently so that the patient no longer requires the services provided by" "the facility"; "The health or safety of other persons in the" "facility is endangered if the patient remains in the facility"; "The charges for services provided to the" "patient by the facility have not been paid after the facility has given notice" "of those charges; or" "The facility ceases to operate." A separate Nevada statute chapter enumerates grounds in nearly identical terms, but for a different facility type: NRS 449A.282 limits transfer or discharge "except where" the same five circumstances apply, and states them only of "A residential facility for groups" — a facility type this project's charter places out of v1 scope, distinct from "a facility for skilled nursing" throughout NAC 449.74429 and NRS 449A.114 below.

Notice stated in the sources

Two Nevada publishers state the same period. NAC 449.74429(2)(b)(3) requires that the notice "be given at least 30 days before the effective date of the transfer or" "discharge," and NRS 449A.114(1)(a) requires a facility to, "At least 30 calendar days before transferring" "or discharging the patient, provide the patient and the Ombudsman with written" "notice of the intent to transfer or discharge the patient". NRS 449A.114(1)(b) adds a right NAC 449.74429 does not state: "Within 10 calendar days after providing" "written notice to the patient or resident and the Ombudsman pursuant to" "paragraph (a), allow the patient and any person authorized by the patient the" "opportunity to meet in person with the administrator of the facility to discuss" "the proposed transfer or discharge." On contents, NAC 449.74429(2)(b) requires the notice to "Include the reasons for the transfer or" "discharge," "Include the effective date of the transfer" "or discharge," "Specify the location to which the patient" "will be transferred or discharged", "Include a statement that the patient has a" "right to appeal the transfer or discharge", and "Include the name, address and telephone" "number of the advocates for residents of facilities for long-term care" "appointed pursuant to chapter 427A of" "NRS." The 30-day period may be shortened under NAC 449.74429(3) where "The health or safety of other persons in the" "facility is endangered if the patient remains in the facility", where the patient's health has improved enough to allow a more immediate move, where "The medical needs of the patient require a more" "immediate transfer or discharge", or where "The patient has not resided in the facility for" "at least 30 days." NRS 449A.114(2) states two further exceptions: a voluntary discharge "at the" "request of the patient", and a transfer made because the patient's condition "necessitates an immediate transfer to a" "facility for a higher level of care."

Hearing office in these sources

NAC 449.74429(2)(b)(7) requires only that the notice "Include a statement that the patient has a" "right to appeal the transfer or discharge" — it names no office. The office is named in the Division of Health Care Financing and Policy's own Medicaid Services Manual, Chapter 3100: "the state will provide a system for a resident of a NF to appeal" "a notice from the NF of intent to discharge or transfer the resident. Upon receipt of the" "discharge notice, the resident may request a Fair Hearing via the internet, telephonically, in" "person, through other commonly available electronic means or by submitting the request to" "the DHCFP." A standard request "must be received by the DHCFP office within 90 calendar days" "from the Notice Date"; an Expedited Fair Hearing is available where a standard hearing's timing "could" "jeopardize the individual's life, health or ability to attain, maintain or regain" "maximum function", with "A decision" "provided within" "seven working days from when the Hearing request was received." Nevada Medicaid's own Fair Hearing Request Form (NMO-6300) states the filing address: "Nevada Medicaid Hearings Unit" "9850 Double R Blvd Ste. 200" "Reno, NV 89521" fax "(775) 684-3610," email "medicaidhearings@nvha.nv.gov".

Ombudsman in these sources

"The Nevada State Long Term Care Ombudsman Program (LTCOP) is authorized by the federal Older American's Act." Its published helpline: "please contact LTCOP Helpline at" "1-888-282-1155". The program's own discharge-rights brochure lists a Carson City office at "3416 Goni Rd. Suite 132" "Carson City, NV 89706" "(775) 687-4210", and three others: Elko at "1010 Ruby Vista Dr. Suite 104" "Elko, NV 89801", "(775) 738-1966"; Las Vegas at "3320 W. Sahara Ave" "Las Vegas, NV 89104", "(702) 486-3545"; and Reno at "9670 Gateway Dr. Suite 100" "Reno, NV 89521" "(775) 687-0800". The Aging and Disability Services Division's own program page carries a different Carson City street address under the same phone number: "1550 E College Parkway" "Carson City, NV 89706" "(775) 687-4210". Both are shown; neither is reconciled here.

Sources last checked

2026-09-01

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

Lede

This page assembles what Nevada's own publishers state about transfer and discharge from a nursing facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. Nevada's fullest single source is NAC 449.74429, the Board of Health's rule on "Transfer or discharge of patient", adopted effective 9-27-99: it alone states the grounds, the notice's required contents, the 30-day period and its exceptions, and the facility's bed-hold disclosure duty. A companion statute, NRS 449A.114, adds notice to the Ombudsman and a 10-day right to meet with the administrator. Nevada's own vocabulary is transfer or discharge, matching the federal regulation's term. Three publishers speak here: the Legislature's own codification of the Board of Health's rule and the relevant statutes; the Division of Health Care Financing and Policy's Medicaid Services Manual, which names the hearing office the notice-content rule does not; and the Aging and Disability Services Division, which publishes the Long-Term Care Ombudsman Program.

Two things a reader should see at once. Nevada regulates two different kinds of long-term-care facility under overlapping but distinct provisions, and a search that stops at NRS chapter 449A's "Limitations on transfer or involuntary discharge" (NRS 449A.282) will land on the wrong one: those sections, and the two notice statutes beside them, apply on their own terms only to a "residential facility for groups," not to "a facility for skilled nursing". The grounds, notice contents, and bed-hold disclosure duty that actually govern a skilled-nursing facility sit instead in NAC 449.74429 and NRS 449A.114, both quoted above. And Nevada Medicaid's own reimbursement for holding a bed — up to 24 days a year — is stated only for "therapeutic leave," which its own manual defines to exclude "hospital emergency room visits or hospital stays"; no source found states whether or how a hospital-stay bed-hold is itself reimbursed, only that a facility must adopt and disclose its own policy for one. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on [the federal page](../federal.html); nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.